Active NPI
Abigail Benedict, LLMSW
- Social Worker
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801109740
- Practice address
- 1061 S Getty St
Muskegon, MI 49442-4066 - Phone
- (231) 722-7980
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Social Worker | 104100000X | 6801109740 | MI | Primary |
Addresses
Primary practice location
1061 S Getty St
Muskegon, MI 49442-4066
Mailing address
3721 Wickham Dr
Norton Shores, MI 49441-4611
Phone (231) 740-6443
Other practice location 1
3721 Wickham Dr
Norton Shores, MI 49441-4611
Phone (231) 683-2627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801109740 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Muskegon | Current | Accepting new patients | |
| Three Fates LLC | Current | Accepting new patients | |
| County of Muskegon | Current | Accepting new patients |
Locations
754 Pine St
Muskegon, MI 49442
Phone (231) 724-1444
376 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3699
640 Seminole Rd
Norton Shores, MI 49441
Phone (231) 332-3827
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Muskegon, MI
- NPI 1003914946
-
dba Brookhaven Medical Care Facility
- Skilled Nursing Facility
- Muskegon, MI
- NPI 1659440816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1861800427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 WICKHAM DR",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494414611",
"telephone_number": "231-740-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 S GETTY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494424066",
"telephone_number": "231-722-7980"
}
],
"practiceLocations": [
{
"address_1": "3721 Wickham Dr",
"address_purpose": "LOCATION",
"city": "Norton Shores",
"state": "MI",
"postal_code": "494414611",
"country_code": "US",
"telephone_number": "231-683-2627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENEDICT",
"first_name": "ABIGAIL",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801109740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.